Individual provider
JACK WARREN ITO, PHD
CMS NPPES lists JACK WARREN ITO as an individual provider record with NPI 1710966593. The current record reports a primary practice location in 29 PALMS, CA and primary taxonomy code 103TC0700X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice locationNAVAL HOSPITAL 29 PALMSMCAGCC29 PALMS, CA 92278
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
103TC0700XPrimary reported taxonomy103T00000XAdditional reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- January 11, 2006
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.